Urostomy Pouch Failures - Seeking Solutions for Seepage and Adhesion Issues

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353
arzena
Jan 17, 2024 10:38 pm

The urostomy stoma is close to the incision site.

There is still seepage from the incision site, and the seepage of body fluid causes the glue on every pouch tried to fail.

Is there an offset pouch that would move the pouch further away from the incision?

Is there a glue or a pouch with glue that will withstand the attack of the body fluids?

The ostomy nurse has tried every brand, but all fail.

Bill
Jan 18, 2024 8:08 am

Hello arzena.
I make my own baseplates to suit my circumstances.
The glue I use is called 'Probond' and is designed for prosthetics. It is a very effective glue which could easily be applied to the 'normal' pouches.
Experimentation is the key to finding personal solutions to these sorts of problems. 
Once, I discussed my problem of the appliance leaking and dislodging with Dansac, who sent me some samples with a different, much stronger glue. The problem then became how to get the device off when I needed to. 
It was after that, I started to make my own baseplates. 

Best wishes

Bill

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ron in mich
Jan 18, 2024 1:39 pm

Hi Arzena, can you cut a hole for the stoma off-center or more to one side to move the wafer/base plate away from the seepage?

Beth22
Jan 18, 2024 2:01 pm

Hi there, where is your incision site? Is it a midline incision? I have had to reconfigure how I do my bags due to my midline incision being left open to heal on its own. What brand do you use? And are you covering the incision with any gauze?

Happy-but-Newbie
Jan 18, 2024 3:03 pm

Had the same issue right after surgery... the way to go is the opposite... ensure fluids from the incision are correctly captured... change dressing multiple times a day, use absorbent types of dressings...

And lots of stoma powder until it stops seeping (for me it was 10 days post drainage extraction).

 

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Bryce
Jan 18, 2024 8:02 pm

I think 'Happy' is on to something. There must be a type of dressing you can put on the incision to stop the weeping. I'm thinking something like the styptic pencil men use for shaving cuts but without the sting. Something with a lot of alum? Best